Section: NCLEX

Question 41 of 49

41) Which of the following observations of a 8 lb 4 oz newborn boy, if made by the nurse, would require an intervention?

The infant’s respirations are 36, shallow and irregular in rate, rhythm, and depth.
The infant’s axillary temperature is 96.2° F (35.6° C).
Rapid pulsations are visible in the fifth intercostal space, left midclavicular line.
There is asynchronous spontaneous movement of the infant’s extremities.

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